T4521
HCPCS Procedure Code
HCPCS code T4521 is the #810 most-billed Medicaid procedure code, with $75.3M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $81.60.
Total Paid
$75.3M
0.01% of all spending
Total Claims
1.1M
Providers
396
Avg Cost/Claim
$69
National Cost Distribution
How much do providers bill per claim for T4521? Based on 395 providers billing this code nationally.
Median
$81.60
Average
$81.56
Std Dev
$33.90
Max
$346.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.50 and $99.76 per claim for this code.
90% bill between $44.37 and $115.15.
Top 1% bill above $178.39.
About This Procedure
HCPCS code T4521 was billed by 396 providers across 1.1M claims, totaling $75.3M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.60
Providers Billing
395
National Spending
$75.3M
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4521
| # | Provider | Total Paid |
|---|---|---|
| 1 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $5.9M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $3.3M |
| 3 | 1992975700 | $2.4M |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $2.3M |
| 5 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $2.1M |
| 6 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $1.7M |
| 7 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $1.6M |
| 8 | Integra Partners Llc Troy, MI · Orthotic Fitter | $1.6M |
| 9 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $1.5M |
| 10 | 1245387943 | $1.5M |
| 11 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $1.4M |
| 12 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $1.3M |
| 13 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $1.2M |
| 14 | 1649383084 | $1.2M |
| 15 | 1447474010 | $1.2M |
| 16 | 1699795054 | $1.1M |
| 17 | 1104811629 | $976K |
| 18 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $901K |
| 19 | 1366580391 | $804K |
| 20 | 1326140138 | $773K |
Showing top 20 of 396 providers billing this code